Intelligent discharge planning within Epic

The WellSky CarePort Transition solution

Available in the Epic Showroom, the WellSky CarePort Transition solution is designed to facilitate care transitions across the healthcare continuum, enabling clinicians and care teams to identify appropriate post-acute options, initiate referrals, and track follow up. By integrating robust post-acute data and real-time insights, the CarePort Transition solution streamlines workflows, improves care transitions, and supports value-based care initiatives.

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400+ facilities selected the WellSky CarePort Transition solution for care transitions in the last year.

Key benefits for Epic users

1

Seamless integration with Epic: The CarePort Transition solution is embedded in Epic, enabling real-time, two-way data exchange. ADT and clinical data flow into WellSky, while referral details, patient choice, and post-acute authorization updates are sent back to Epic — keeping workflows unified and reducing manual data entry.

2

Streamlined referral workflows: The CarePort Transition solution simplifies referral creation with Epic API-driven clinical data pulls, SNF suitability guidance, and automated referral packet generation. Rules-based automation helps case managers prioritize tasks, flag patients, and manage referrals efficiently — resulting in an average referral response time of just 24 minutes, accelerating care transitions and reducing delays.

3

Provider intelligence and patient choice tools: Case managers can access a national directory of 130,000 post-acute and community providers with detailed profiles including services, amenities, insurance, and more. Patient choice is supported via text, email, or print, helping families make informed decisions quickly and confidently.

4

Closed-loop referral management and post-acute visibility: The CarePort Transition solution ensures visibility into whether patients arrive at referred facilities, automatically closing the loop for accurate reporting. Integrated tools like the WellSky CarePort Connect solution support post-discharge patient management across SNFs, HHAs, LTACHs, rehab, and hospice settings. 

5

Advanced analytics and quality benchmarking: Robust dashboards and ad-hoc analytics provide insights into referral patterns, provider performance, and network quality. Benchmarking tools and quality scores help case managers make data-driven decisions and optimize care transitions.

6

Interoperability across care settings: The CarePort Transition solution supports bi-directional chat, tasking, and EMR integration across care settings. It also facilitates communication with payers, conveners, and value-based care organizations to align care plans and benefits.

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About WellSky

WellSky® is one of America’s largest and most innovative healthcare technology companies, leading the movement for intelligent, coordinated care. In today’s value-based care environment, WellSky connects providers, payers, health systems, life sciences companies, and community organizations through AI-powered software, analytics, and services. Our solutions help organizations scale smarter, collaborate more effectively, and unlock data-driven insights. The result is better alignment across all dimensions of clinical and social care — supporting better outcomes and lower costs.

WellSky serves more than 20,000 client sites — including the largest hospital systems, blood banks, cell therapy labs, home health and hospice franchises, post-acute providers, government agencies, and human services organizations. With more than 40 years of industry expertise further amplified by AI, WellSky anticipates clients’ needs and innovates relentlessly to shape the future of coordinated care. For more information, visit wellsky.com.